Communication between people is commonly thought to play a major role in determining the success or failure of collaborative design projects. We conducted 8 weeks of observation and 62 interviews in three design companies. Our findings indicate that communication is blamed for causing many problems which are not of obvious technical nature. However, such problems are more often symptomatic of underlying factors related to information, representation, individual, team, and organisational issues. Examples of factors influencing communication at interfaces are people's understanding of the ‘sequence of tasks’ or ‘goals and objectives’ in the design process. With a system-theory informed conceptualisation of communication, we propose that awareness of such factors could assist design practitioners in targeting interventions and researchers in generating hypotheses about communication and design performance.

Healthcare systems are under strain, this creates a challenge for designers to develop solutions for better health and care delivery. This paper presents a sandbox of illustrative design themes used to improve health systems based on state of the art research projects. These were collated from presentations at The Second International Meeting on Healthcare Systems Design Research, held at DTU-Technical University of Denmark. Attending groups were mapped based on their research keywords, target journals and methodologies in order to gain insight on the communities research landscape.